re: Wearable Medical Technology Set To Take Off
A few thoughts...
First, we need to be able to connect the devices to the EHR. Second, we need to understand the meaning of the information. Third, we need to explore how much needs to be saved, and for how long.
This article addresses the first point. However, as noted by JaySimmons, there is data fatigue in looking at 'normal' data over and over again. On the flip side, alerts can be created (and individualized) to help one notice the outlier information. Even so, there are questions to be addressed in the future regarding how much variance is 'tolerable' vs when does this variance become 'important to listen to'.For example, if we have a patient wearing a Fitit device for 24 hours, we do not need to spend 24 hours to review the data, instead, we can use algorithms to identify the variances.
Regarding the saving of data, this will become interesting, especially as video is recorded in the future. Even so, in the example of the Fitbit device, do we really need to keep all 24 hours of information in the EHR? Or, can we pull only clips of data and then keep the report from the algorithm? In either case, how long do we store thsi data? Is it possible that tracking over time might help us uncover movement patterns that can be detected early on to prevent future changes in function?
In the future, as I put on my shirt with wearable sensors to measure my HR, BP, Resp, Temperature, and Movement patterns, I am not sure I will want all (or any) of this information sent to my EHR...but I will want the ability to track and learn about myself from this information, especially as I go on a hike or bike ride in the mountains. From this article, it appears that I am not the only one interested in this ability.